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Adagrasib dose of twice daily

Phase 2

Advanced NSCLC | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Aug 17, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment90
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05609578Combination Therapies With Adagrasib in Patients With Advanced NSCLC With KRAS G12C MutationPHASE2 RECRUITING 90Nov 22, 2022Dec 1, 2026Aug 17, 2025166 United States, Brazil +12
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Study Endpoints
Primary Endpoints
Objective Response Rate (ORR) for Cohort A and E
30 months

Defined as the percent of patients documented to have a confirmed CR or PR

Progression-free Survival (PFS) at six months for Cohort C
30 months

PFS is defined as time from first study treatment until disease progression or death from any cause, whichever occurs first.

Secondary Endpoints
Adverse Events
30 months
Duration of Response (DOR)
30 months
Overall Survival (OS)
30 months
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort A: PD-L1 TPS≥ 1% (Closed)EXPERIMENTALAdagrasib 400 mg BID for 2 cycles followed by adagrasib 400 mg BID + pembrolizumab 200 mg every 3 weeks (Q3W) up to 35 cycles
Cohort CEXPERIMENTALAdagrasib 400 mg BID + pemetrexed 500 mg/m2 Q3W + pembrolizumab 200 mg Q3W up to 31 cycles
Cohort EEXPERIMENTALAdagrasib 400 mg BID + pembrolizumab 200 mg Q3W + pemetrexed 500 mg/m2 + cisplatin 75 mg/m2 Q3W OR carboplatin AUC 5 Q3W for 4 cycles, followed by adagrasib 400 mg BID + pemetrexed 500 mg/m2 Q3W + pembrolizumab 200 mg Q3W (up to 31 cycles)
Interventions
NameTypeDescription
Adagrasib oral dose of 400 mg twice daily tabletsDRUGoral dose of 400 mg twice daily tablets
PembrolizumabCOMBINATION_PRODUCTIV infusion once every 3 weeks
Chemotherapy: PemetrexedCOMBINATION_PRODUCTIV infusion once every 3 weeks
Cisplatin/CarboplatinCOMBINATION_PRODUCTIV infusion once every 3 weeks
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites166

Cohort A\* (closed): Has an untreated and unresectable or metastatic NSCLC with histologically confirmed (squamous or nonsquamous) KRASG12C mutation and histologically confirmed PD-L1 TPS ≥1%. * Cohort C: Has an untreated and unresectable or metastatic NSCLC with histologically confirmed (non-squam...

Countries:United StatesBrazilChileFranceGeorgiaGreeceHungaryItalyMalaysiaPolandSerbiaSpainSwitzerlandThailand
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05609578primaryCompletionDate: changed
LOWMay 24, 2026NCT05609578studyFirstPostDate: changed